vericred_client 0.0.23 → 0.0.25
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- checksums.yaml +4 -4
- data/README.md +826 -28
- data/docs/ACAPlan.md +35 -35
- data/docs/ACAPlan2018.md +36 -36
- data/docs/ACAPlan2018SearchResponse.md +1 -1
- data/docs/ACAPlan2018SearchResult.md +39 -39
- data/docs/ACAPlanPre2018.md +35 -35
- data/docs/ACAPlanPre2018SearchResponse.md +1 -1
- data/docs/ACAPlanPre2018SearchResult.md +38 -38
- data/docs/Address.md +14 -0
- data/docs/AncillaryPlanIdentifier.md +9 -0
- data/docs/BasePlanSearchResponse.md +1 -1
- data/docs/CarrierGroupRequest.md +1 -1
- data/docs/CarrierRequest.md +2 -2
- data/docs/CarrierSubsidiary.md +2 -2
- data/docs/CarrierVerificationDentalPlansApi.md +63 -0
- data/docs/CarrierVerificationMedicalPlansApi.md +63 -0
- data/docs/CarrierVerificationVisionPlansApi.md +63 -0
- data/docs/County.md +1 -1
- data/docs/CountyBulk.md +1 -1
- data/docs/DentalPlan.md +7 -7
- data/docs/DentalPlanBenefits.md +22 -22
- data/docs/DentalPlanSearchRequest.md +1 -2
- data/docs/DentalPlanUpdate.md +5 -5
- data/docs/DentalPlansApi.md +118 -4
- data/docs/DependentCreate.md +12 -0
- data/docs/DependentCreateRequest.md +12 -0
- data/docs/DependentShow.md +12 -0
- data/docs/Drug.md +3 -3
- data/docs/DrugCoverage.md +3 -3
- data/docs/DrugCoverageResponse.md +2 -2
- data/docs/DrugPackage.md +1 -1
- data/docs/DrugSearchResponse.md +2 -2
- data/docs/EmbargoRequest.md +3 -2
- data/docs/FormularyResponse.md +1 -1
- data/docs/GroupCreate.md +14 -0
- data/docs/GroupCreateRequest.md +9 -0
- data/docs/GroupCreateResponse.md +9 -0
- data/docs/GroupShow.md +15 -0
- data/docs/GroupShowResponse.md +9 -0
- data/docs/GroupUpdate.md +14 -0
- data/docs/GroupUpdateRequest.md +9 -0
- data/docs/IssuerRequest.md +7 -7
- data/docs/LocationCreate.md +13 -0
- data/docs/LocationShow.md +14 -0
- data/docs/LocationUpdate.md +14 -0
- data/docs/MajorMedicalPlansApi.md +122 -0
- data/docs/MedicalPlanBenefits.md +35 -35
- data/docs/MedicalPlanUpdate.md +21 -20
- data/docs/MedicalPlansApi.md +0 -114
- data/docs/MedicareAdvantagePlan.md +25 -0
- data/docs/MedicareAdvantagePlanBenefits.md +148 -0
- data/docs/MedicareAdvantagePlanSearchRequest.md +12 -0
- data/docs/MedicareAdvantagePlanSearchResponse.md +9 -0
- data/docs/MedicareAdvantagePlanShowResponse.md +8 -0
- data/docs/MemberCreate.md +17 -0
- data/docs/MemberRateShow.md +13 -0
- data/docs/MemberRateShowRequest.md +10 -0
- data/docs/MemberRatesShowResponse.md +9 -0
- data/docs/MemberShow.md +18 -0
- data/docs/MembersCreateRequest.md +9 -0
- data/docs/MembersCreateResponse.md +8 -0
- data/docs/MembersShowResponse.md +8 -0
- data/docs/MetaPlanSearchResponse.md +1 -1
- data/docs/NetworkComparisonResponse.md +1 -1
- data/docs/NetworkDetails.md +1 -1
- data/docs/NetworkSize.md +1 -1
- data/docs/NetworksApi.md +17 -12
- data/docs/PlanCounty.md +1 -1
- data/docs/PlanCountyBulk.md +1 -1
- data/docs/PlanMedicare.md +1 -1
- data/docs/PlanMedicareBulk.md +2 -2
- data/docs/PlanPricingMedicare.md +3 -3
- data/docs/PlanSearchResponse.md +1 -1
- data/docs/PlansApi.md +0 -169
- data/docs/PlansBulkACA2018.md +8 -0
- data/docs/PlansBulkACAPre2018.md +8 -0
- data/docs/PlansBulkBase.md +7 -0
- data/docs/PlansBulkDental.md +7 -0
- data/docs/PlansBulkVision.md +7 -0
- data/docs/Provider.md +2 -2
- data/docs/ProviderDetails.md +5 -3
- data/docs/ProviderNetworkEventNotification.md +3 -3
- data/docs/ProviderNetworks.md +11 -0
- data/docs/ProviderShowResponse.md +1 -1
- data/docs/ProvidersApi.md +1 -56
- data/docs/QuoteCreate.md +15 -0
- data/docs/QuoteCreateRequest.md +8 -0
- data/docs/QuoteCreateResponse.md +8 -0
- data/docs/QuoteShow.md +17 -0
- data/docs/QuoteShowResponse.md +8 -0
- data/docs/QuotingApi.md +344 -0
- data/docs/RateRequest.md +24 -24
- data/docs/RateSearch.md +23 -18
- data/docs/RateShow.md +12 -0
- data/docs/RateShowRequest.md +10 -0
- data/docs/RatesShowResponse.md +9 -0
- data/docs/RequestPlanFind.md +2 -2
- data/docs/RequestPlanFindCarrierVerification.md +3 -3
- data/docs/RequestProviderNotificationSubscription.md +1 -1
- data/docs/RequestProvidersSearch.md +1 -1
- data/docs/RequestRatesSearch.md +1 -1
- data/docs/RxCuiIdentifier.md +1 -1
- data/docs/RxCuiIdentifierSearchResponse.md +1 -1
- data/docs/State.md +2 -2
- data/docs/SupplementalOptions.md +13 -0
- data/docs/V7Network.md +10 -0
- data/docs/V7NetworkComparisonResponse.md +9 -0
- data/docs/V7NetworkDetails.md +11 -0
- data/docs/V7NetworkDetailsResponse.md +8 -0
- data/docs/V7NetworkSearchResponse.md +9 -0
- data/docs/V7ProviderDetails.md +33 -0
- data/docs/V7ProviderNetworks.md +12 -0
- data/docs/VisionPlan.md +7 -7
- data/docs/VisionPlanBenefits.md +22 -15
- data/docs/VisionPlanSearchRequest.md +1 -2
- data/docs/VisionPlanUpdate.md +5 -5
- data/docs/VisionPlansApi.md +114 -0
- data/docs/ZipCountiesResponse.md +1 -1
- data/docs/ZipCountyBulk.md +1 -1
- data/lib/vericred_client/api/carrier_groups_api.rb +754 -15
- data/lib/vericred_client/api/carrier_verification_dental_plans_api.rb +1026 -0
- data/lib/vericred_client/api/carrier_verification_medical_plans_api.rb +1026 -0
- data/lib/vericred_client/api/carrier_verification_plans_api.rb +754 -15
- data/lib/vericred_client/api/carrier_verification_vision_plans_api.rb +1026 -0
- data/lib/vericred_client/api/carriers_api.rb +754 -15
- data/lib/vericred_client/api/dental_plans_api.rb +874 -18
- data/lib/vericred_client/api/drug_coverages_api.rb +754 -15
- data/lib/vericred_client/api/drug_packages_api.rb +754 -15
- data/lib/vericred_client/api/drugs_api.rb +754 -15
- data/lib/vericred_client/api/embargoes_api.rb +754 -15
- data/lib/vericred_client/api/formularies_api.rb +754 -15
- data/lib/vericred_client/api/issuers_api.rb +754 -15
- data/lib/vericred_client/api/major_medical_plans_api.rb +1086 -0
- data/lib/vericred_client/api/medical_plans_api.rb +754 -132
- data/lib/vericred_client/api/network_sizes_api.rb +754 -15
- data/lib/vericred_client/api/networks_api.rb +773 -27
- data/lib/vericred_client/api/plans_api.rb +754 -189
- data/lib/vericred_client/api/provider_notification_subscriptions_api.rb +754 -15
- data/lib/vericred_client/api/providers_api.rb +756 -74
- data/lib/vericred_client/api/quoting_api.rb +1316 -0
- data/lib/vericred_client/api/rates_api.rb +754 -15
- data/lib/vericred_client/api/vision_plans_api.rb +871 -15
- data/lib/vericred_client/api/zip_counties_api.rb +754 -15
- data/lib/vericred_client/api_client.rb +754 -15
- data/lib/vericred_client/api_error.rb +754 -15
- data/lib/vericred_client/configuration.rb +754 -15
- data/lib/vericred_client/models/aca_plan.rb +1165 -426
- data/lib/vericred_client/models/aca_plan2018.rb +1174 -435
- data/lib/vericred_client/models/aca_plan2018_search_response.rb +765 -26
- data/lib/vericred_client/models/aca_plan2018_search_result.rb +1203 -464
- data/lib/vericred_client/models/aca_plan2018_show_response.rb +754 -15
- data/lib/vericred_client/models/aca_plan_pre2018.rb +1165 -426
- data/lib/vericred_client/models/aca_plan_pre2018_search_response.rb +765 -26
- data/lib/vericred_client/models/aca_plan_pre2018_search_result.rb +1202 -463
- data/lib/vericred_client/models/aca_plan_pre2018_show_response.rb +754 -15
- data/lib/vericred_client/models/address.rb +1195 -0
- data/lib/vericred_client/models/ancillary_plan_identifier.rb +1145 -0
- data/lib/vericred_client/models/base.rb +754 -15
- data/lib/vericred_client/models/base_plan_search_response.rb +768 -29
- data/lib/vericred_client/models/carrier.rb +754 -15
- data/lib/vericred_client/models/carrier_group_request.rb +765 -26
- data/lib/vericred_client/models/carrier_request.rb +769 -30
- data/lib/vericred_client/models/carrier_subsidiary.rb +778 -39
- data/lib/vericred_client/models/county.rb +765 -26
- data/lib/vericred_client/models/county_bulk.rb +768 -29
- data/lib/vericred_client/models/dental_plan.rb +825 -86
- data/lib/vericred_client/models/dental_plan_benefits.rb +927 -188
- data/lib/vericred_client/models/dental_plan_search_applicant.rb +754 -15
- data/lib/vericred_client/models/dental_plan_search_request.rb +768 -39
- data/lib/vericred_client/models/dental_plan_search_response.rb +754 -15
- data/lib/vericred_client/models/dental_plan_show_response.rb +754 -15
- data/lib/vericred_client/models/dental_plan_update.rb +804 -65
- data/lib/vericred_client/models/dental_plan_update_request.rb +754 -15
- data/lib/vericred_client/models/dependent_create.rb +1175 -0
- data/lib/vericred_client/models/dependent_create_request.rb +1175 -0
- data/lib/vericred_client/models/dependent_show.rb +1175 -0
- data/lib/vericred_client/models/drug.rb +781 -42
- data/lib/vericred_client/models/drug_coverage.rb +781 -42
- data/lib/vericred_client/models/drug_coverage_response.rb +769 -30
- data/lib/vericred_client/models/drug_package.rb +765 -26
- data/lib/vericred_client/models/drug_search_response.rb +771 -32
- data/lib/vericred_client/models/embargo_request.rb +790 -39
- data/lib/vericred_client/models/formulary.rb +754 -15
- data/lib/vericred_client/models/formulary_drug_package_response.rb +754 -15
- data/lib/vericred_client/models/formulary_response.rb +768 -29
- data/lib/vericred_client/models/group_create.rb +1195 -0
- data/lib/vericred_client/models/group_create_request.rb +1147 -0
- data/lib/vericred_client/models/group_create_response.rb +1147 -0
- data/lib/vericred_client/models/group_show.rb +1205 -0
- data/lib/vericred_client/models/group_show_response.rb +1147 -0
- data/lib/vericred_client/models/group_update.rb +1195 -0
- data/lib/vericred_client/models/group_update_request.rb +1147 -0
- data/lib/vericred_client/models/issuer_request.rb +819 -80
- data/lib/vericred_client/models/location_create.rb +1185 -0
- data/lib/vericred_client/models/location_show.rb +1195 -0
- data/lib/vericred_client/models/location_update.rb +1195 -0
- data/lib/vericred_client/models/medical_plan_benefits.rb +1084 -345
- data/lib/vericred_client/models/medical_plan_update.rb +930 -181
- data/lib/vericred_client/models/medical_plan_update_request.rb +754 -15
- data/lib/vericred_client/models/medicare_advantage_plan.rb +1309 -0
- data/lib/vericred_client/models/medicare_advantage_plan_benefits.rb +2535 -0
- data/lib/vericred_client/models/medicare_advantage_plan_search_request.rb +1175 -0
- data/lib/vericred_client/models/medicare_advantage_plan_search_response.rb +1147 -0
- data/lib/vericred_client/models/medicare_advantage_plan_show_response.rb +1135 -0
- data/lib/vericred_client/models/member_create.rb +1227 -0
- data/lib/vericred_client/models/member_rate_show.rb +1185 -0
- data/lib/vericred_client/models/member_rate_show_request.rb +1155 -0
- data/lib/vericred_client/models/member_rates_show_response.rb +1147 -0
- data/lib/vericred_client/models/member_show.rb +1237 -0
- data/lib/vericred_client/models/members_create_request.rb +1147 -0
- data/lib/vericred_client/models/members_create_response.rb +1137 -0
- data/lib/vericred_client/models/members_show_response.rb +1137 -0
- data/lib/vericred_client/models/meta.rb +754 -15
- data/lib/vericred_client/models/meta_plan_search_response.rb +768 -29
- data/lib/vericred_client/models/network.rb +754 -15
- data/lib/vericred_client/models/network_comparison.rb +754 -15
- data/lib/vericred_client/models/network_comparison_request.rb +754 -15
- data/lib/vericred_client/models/network_comparison_response.rb +770 -31
- data/lib/vericred_client/models/network_details.rb +770 -31
- data/lib/vericred_client/models/network_details_response.rb +754 -15
- data/lib/vericred_client/models/network_search_response.rb +754 -15
- data/lib/vericred_client/models/network_size.rb +765 -26
- data/lib/vericred_client/models/notification_subscription.rb +754 -15
- data/lib/vericred_client/models/notification_subscription_response.rb +754 -15
- data/lib/vericred_client/models/plan.rb +754 -15
- data/lib/vericred_client/models/plan_county.rb +768 -29
- data/lib/vericred_client/models/plan_county_bulk.rb +768 -29
- data/lib/vericred_client/models/plan_deleted.rb +754 -15
- data/lib/vericred_client/models/plan_identifier.rb +754 -15
- data/lib/vericred_client/models/plan_medicare.rb +768 -29
- data/lib/vericred_client/models/plan_medicare_bulk.rb +775 -36
- data/lib/vericred_client/models/plan_pricing_medicare.rb +782 -43
- data/lib/vericred_client/models/plan_search_response.rb +765 -26
- data/lib/vericred_client/models/plan_show_response.rb +754 -15
- data/lib/vericred_client/models/plans_bulk_aca2018.rb +1135 -0
- data/lib/vericred_client/models/plans_bulk_aca_pre2018.rb +1135 -0
- data/lib/vericred_client/models/plans_bulk_base.rb +1125 -0
- data/lib/vericred_client/models/plans_bulk_dental.rb +1125 -0
- data/lib/vericred_client/models/plans_bulk_vision.rb +1125 -0
- data/lib/vericred_client/models/provider.rb +780 -41
- data/lib/vericred_client/models/provider_details.rb +813 -50
- data/lib/vericred_client/models/provider_geocode.rb +754 -15
- data/lib/vericred_client/models/provider_network_event_notification.rb +790 -51
- data/lib/vericred_client/models/provider_networks.rb +1165 -0
- data/lib/vericred_client/models/provider_show_response.rb +755 -16
- data/lib/vericred_client/models/providers_geocode_response.rb +754 -15
- data/lib/vericred_client/models/providers_search_response.rb +754 -15
- data/lib/vericred_client/models/quote_create.rb +1207 -0
- data/lib/vericred_client/models/quote_create_request.rb +1135 -0
- data/lib/vericred_client/models/quote_create_response.rb +1135 -0
- data/lib/vericred_client/models/quote_show.rb +1227 -0
- data/lib/vericred_client/models/quote_show_response.rb +1135 -0
- data/lib/vericred_client/models/rate_request.rb +990 -251
- data/lib/vericred_client/models/rate_search.rb +978 -189
- data/lib/vericred_client/models/rate_show.rb +1175 -0
- data/lib/vericred_client/models/rate_show_request.rb +1155 -0
- data/lib/vericred_client/models/rates_show_response.rb +1147 -0
- data/lib/vericred_client/models/rating_area.rb +754 -15
- data/lib/vericred_client/models/request_plan_find.rb +777 -38
- data/lib/vericred_client/models/request_plan_find_applicant.rb +754 -15
- data/lib/vericred_client/models/request_plan_find_carrier_verification.rb +792 -53
- data/lib/vericred_client/models/request_plan_find_drug_package.rb +754 -15
- data/lib/vericred_client/models/request_plan_find_provider.rb +754 -15
- data/lib/vericred_client/models/request_provider_notification_subscription.rb +768 -29
- data/lib/vericred_client/models/request_providers_search.rb +767 -26
- data/lib/vericred_client/models/request_rates_search.rb +768 -29
- data/lib/vericred_client/models/response_rates_search.rb +754 -15
- data/lib/vericred_client/models/rx_cui_identifier.rb +765 -26
- data/lib/vericred_client/models/rx_cui_identifier_search_response.rb +768 -29
- data/lib/vericred_client/models/service_area.rb +754 -15
- data/lib/vericred_client/models/service_area_zip_county.rb +754 -15
- data/lib/vericred_client/models/state.rb +778 -39
- data/lib/vericred_client/models/state_network_size_request.rb +754 -15
- data/lib/vericred_client/models/state_network_size_response.rb +754 -15
- data/lib/vericred_client/models/supplemental_options.rb +1187 -0
- data/lib/vericred_client/models/v7_network.rb +1155 -0
- data/lib/vericred_client/models/v7_network_comparison_response.rb +1149 -0
- data/lib/vericred_client/models/v7_network_details.rb +1167 -0
- data/lib/vericred_client/models/v7_network_details_response.rb +1135 -0
- data/lib/vericred_client/models/v7_network_search_response.rb +1147 -0
- data/lib/vericred_client/models/v7_provider_details.rb +1395 -0
- data/lib/vericred_client/models/v7_provider_networks.rb +1175 -0
- data/lib/vericred_client/models/vision_plan.rb +825 -86
- data/lib/vericred_client/models/vision_plan_benefits.rb +937 -128
- data/lib/vericred_client/models/vision_plan_search_applicant.rb +754 -15
- data/lib/vericred_client/models/vision_plan_search_request.rb +768 -39
- data/lib/vericred_client/models/vision_plan_search_response.rb +754 -15
- data/lib/vericred_client/models/vision_plan_show_response.rb +754 -15
- data/lib/vericred_client/models/vision_plan_update.rb +804 -65
- data/lib/vericred_client/models/vision_plan_update_request.rb +754 -15
- data/lib/vericred_client/models/zip_code.rb +754 -15
- data/lib/vericred_client/models/zip_counties_response.rb +770 -31
- data/lib/vericred_client/models/zip_county.rb +754 -15
- data/lib/vericred_client/models/zip_county_bulk.rb +765 -26
- data/lib/vericred_client/models/zip_county_response.rb +754 -15
- data/lib/vericred_client/version.rb +755 -16
- data/lib/vericred_client.rb +809 -15
- data/spec/api/carrier_groups_api_spec.rb +754 -15
- data/spec/api/carrier_verification_dental_plans_api_spec.rb +993 -0
- data/spec/api/carrier_verification_medical_plans_api_spec.rb +993 -0
- data/spec/api/carrier_verification_plans_api_spec.rb +754 -15
- data/spec/api/carrier_verification_vision_plans_api_spec.rb +993 -0
- data/spec/api/carriers_api_spec.rb +754 -15
- data/spec/api/dental_plans_api_spec.rb +780 -16
- data/spec/api/drug_coverages_api_spec.rb +754 -15
- data/spec/api/drug_packages_api_spec.rb +754 -15
- data/spec/api/drugs_api_spec.rb +754 -15
- data/spec/api/embargoes_api_spec.rb +754 -15
- data/spec/api/formularies_api_spec.rb +754 -15
- data/spec/api/issuers_api_spec.rb +754 -15
- data/spec/api/major_medical_plans_api_spec.rb +1006 -0
- data/spec/api/medical_plans_api_spec.rb +754 -40
- data/spec/api/network_sizes_api_spec.rb +754 -15
- data/spec/api/networks_api_spec.rb +760 -18
- data/spec/api/plans_api_spec.rb +754 -52
- data/spec/api/provider_notification_subscriptions_api_spec.rb +754 -15
- data/spec/api/providers_api_spec.rb +755 -28
- data/spec/api/quoting_api_spec.rb +1055 -0
- data/spec/api/rates_api_spec.rb +754 -15
- data/spec/api/vision_plans_api_spec.rb +779 -15
- data/spec/api/zip_counties_api_spec.rb +754 -15
- data/spec/api_client_spec.rb +754 -15
- data/spec/configuration_spec.rb +754 -15
- data/spec/models/aca_plan2018_search_response_spec.rb +756 -17
- data/spec/models/aca_plan2018_search_result_spec.rb +839 -100
- data/spec/models/aca_plan2018_show_response_spec.rb +754 -15
- data/spec/models/aca_plan2018_spec.rb +843 -104
- data/spec/models/aca_plan_pre2018_search_response_spec.rb +756 -17
- data/spec/models/aca_plan_pre2018_search_result_spec.rb +839 -100
- data/spec/models/aca_plan_pre2018_show_response_spec.rb +754 -15
- data/spec/models/aca_plan_pre2018_spec.rb +837 -98
- data/spec/models/aca_plan_spec.rb +837 -98
- data/spec/models/address_spec.rb +1024 -0
- data/spec/models/ancillary_plan_identifier_spec.rb +994 -0
- data/spec/models/base_plan_search_response_spec.rb +756 -17
- data/spec/models/base_spec.rb +754 -15
- data/spec/models/carrier_group_request_spec.rb +756 -17
- data/spec/models/carrier_request_spec.rb +756 -17
- data/spec/models/carrier_spec.rb +754 -15
- data/spec/models/carrier_subsidiary_spec.rb +758 -19
- data/spec/models/county_bulk_spec.rb +757 -18
- data/spec/models/county_spec.rb +756 -17
- data/spec/models/dental_plan_benefits_spec.rb +782 -43
- data/spec/models/dental_plan_search_applicant_spec.rb +754 -15
- data/spec/models/dental_plan_search_request_spec.rb +758 -25
- data/spec/models/dental_plan_search_response_spec.rb +754 -15
- data/spec/models/dental_plan_show_response_spec.rb +754 -15
- data/spec/models/dental_plan_spec.rb +767 -28
- data/spec/models/dental_plan_update_request_spec.rb +754 -15
- data/spec/models/dental_plan_update_spec.rb +763 -24
- data/spec/models/dependent_create_request_spec.rb +1012 -0
- data/spec/models/dependent_create_spec.rb +1012 -0
- data/spec/models/dependent_show_spec.rb +1012 -0
- data/spec/models/drug_coverage_response_spec.rb +756 -17
- data/spec/models/drug_coverage_spec.rb +758 -19
- data/spec/models/drug_package_spec.rb +756 -17
- data/spec/models/drug_search_response_spec.rb +756 -17
- data/spec/models/drug_spec.rb +758 -19
- data/spec/models/embargo_request_spec.rb +766 -21
- data/spec/models/formulary_drug_package_response_spec.rb +754 -15
- data/spec/models/formulary_response_spec.rb +756 -17
- data/spec/models/formulary_spec.rb +754 -15
- data/spec/models/group_create_request_spec.rb +994 -0
- data/spec/models/group_create_response_spec.rb +994 -0
- data/spec/models/group_create_spec.rb +1024 -0
- data/spec/models/group_show_response_spec.rb +994 -0
- data/spec/models/group_show_spec.rb +1030 -0
- data/spec/models/group_update_request_spec.rb +994 -0
- data/spec/models/group_update_spec.rb +1024 -0
- data/spec/models/issuer_request_spec.rb +765 -26
- data/spec/models/location_create_spec.rb +1018 -0
- data/spec/models/location_show_spec.rb +1024 -0
- data/spec/models/location_update_spec.rb +1024 -0
- data/spec/models/medical_plan_benefits_spec.rb +801 -62
- data/spec/models/medical_plan_update_request_spec.rb +754 -15
- data/spec/models/medical_plan_update_spec.rb +792 -47
- data/spec/models/medicare_advantage_plan_benefits_spec.rb +1828 -0
- data/spec/models/medicare_advantage_plan_search_request_spec.rb +1012 -0
- data/spec/models/medicare_advantage_plan_search_response_spec.rb +994 -0
- data/spec/models/medicare_advantage_plan_show_response_spec.rb +988 -0
- data/spec/models/medicare_advantage_plan_spec.rb +1090 -0
- data/spec/models/member_create_spec.rb +1042 -0
- data/spec/models/member_rate_show_request_spec.rb +1000 -0
- data/spec/models/member_rate_show_spec.rb +1018 -0
- data/spec/models/member_rates_show_response_spec.rb +994 -0
- data/spec/models/member_show_spec.rb +1048 -0
- data/spec/models/members_create_request_spec.rb +994 -0
- data/spec/models/members_create_response_spec.rb +988 -0
- data/spec/models/members_show_response_spec.rb +988 -0
- data/spec/models/meta_plan_search_response_spec.rb +757 -18
- data/spec/models/meta_spec.rb +754 -15
- data/spec/models/network_comparison_request_spec.rb +754 -15
- data/spec/models/network_comparison_response_spec.rb +756 -17
- data/spec/models/network_comparison_spec.rb +754 -15
- data/spec/models/network_details_response_spec.rb +754 -15
- data/spec/models/network_details_spec.rb +757 -18
- data/spec/models/network_search_response_spec.rb +754 -15
- data/spec/models/network_size_spec.rb +756 -17
- data/spec/models/network_spec.rb +754 -15
- data/spec/models/notification_subscription_response_spec.rb +754 -15
- data/spec/models/notification_subscription_spec.rb +754 -15
- data/spec/models/plan_county_bulk_spec.rb +756 -17
- data/spec/models/plan_county_spec.rb +756 -17
- data/spec/models/plan_deleted_spec.rb +754 -15
- data/spec/models/plan_identifier_spec.rb +754 -15
- data/spec/models/plan_medicare_bulk_spec.rb +763 -24
- data/spec/models/plan_medicare_spec.rb +760 -21
- data/spec/models/plan_pricing_medicare_spec.rb +761 -22
- data/spec/models/plan_search_response_spec.rb +756 -17
- data/spec/models/plan_show_response_spec.rb +754 -15
- data/spec/models/plan_spec.rb +754 -15
- data/spec/models/plans_bulk_aca2018_spec.rb +988 -0
- data/spec/models/plans_bulk_aca_pre2018_spec.rb +988 -0
- data/spec/models/plans_bulk_base_spec.rb +982 -0
- data/spec/models/plans_bulk_dental_spec.rb +982 -0
- data/spec/models/plans_bulk_vision_spec.rb +982 -0
- data/spec/models/provider_details_spec.rb +779 -28
- data/spec/models/provider_geocode_spec.rb +754 -15
- data/spec/models/provider_network_event_notification_spec.rb +760 -21
- data/spec/models/provider_networks_spec.rb +1006 -0
- data/spec/models/provider_show_response_spec.rb +754 -15
- data/spec/models/provider_spec.rb +762 -23
- data/spec/models/providers_geocode_response_spec.rb +754 -15
- data/spec/models/providers_search_response_spec.rb +754 -15
- data/spec/models/quote_create_request_spec.rb +988 -0
- data/spec/models/quote_create_response_spec.rb +988 -0
- data/spec/models/quote_create_spec.rb +1030 -0
- data/spec/models/quote_show_response_spec.rb +988 -0
- data/spec/models/quote_show_spec.rb +1042 -0
- data/spec/models/rate_request_spec.rb +884 -145
- data/spec/models/rate_search_spec.rb +886 -117
- data/spec/models/rate_show_request_spec.rb +1000 -0
- data/spec/models/rate_show_spec.rb +1012 -0
- data/spec/models/rates_show_response_spec.rb +994 -0
- data/spec/models/rating_area_spec.rb +754 -15
- data/spec/models/request_plan_find_applicant_spec.rb +754 -15
- data/spec/models/request_plan_find_carrier_verification_spec.rb +761 -22
- data/spec/models/request_plan_find_drug_package_spec.rb +754 -15
- data/spec/models/request_plan_find_provider_spec.rb +754 -15
- data/spec/models/request_plan_find_spec.rb +759 -20
- data/spec/models/request_provider_notification_subscription_spec.rb +757 -18
- data/spec/models/request_providers_search_spec.rb +758 -19
- data/spec/models/request_rates_search_spec.rb +756 -17
- data/spec/models/response_rates_search_spec.rb +754 -15
- data/spec/models/rx_cui_identifier_search_response_spec.rb +756 -17
- data/spec/models/rx_cui_identifier_spec.rb +756 -17
- data/spec/models/service_area_spec.rb +754 -15
- data/spec/models/service_area_zip_county_spec.rb +754 -15
- data/spec/models/state_network_size_request_spec.rb +754 -15
- data/spec/models/state_network_size_response_spec.rb +754 -15
- data/spec/models/state_spec.rb +762 -23
- data/spec/models/supplemental_options_spec.rb +1018 -0
- data/spec/models/v7_network_comparison_response_spec.rb +994 -0
- data/spec/models/v7_network_details_response_spec.rb +988 -0
- data/spec/models/v7_network_details_spec.rb +1006 -0
- data/spec/models/v7_network_search_response_spec.rb +994 -0
- data/spec/models/v7_network_spec.rb +1000 -0
- data/spec/models/v7_provider_details_spec.rb +1138 -0
- data/spec/models/v7_provider_networks_spec.rb +1012 -0
- data/spec/models/vision_plan_benefits_spec.rb +813 -32
- data/spec/models/vision_plan_search_applicant_spec.rb +754 -15
- data/spec/models/vision_plan_search_request_spec.rb +758 -25
- data/spec/models/vision_plan_search_response_spec.rb +754 -15
- data/spec/models/vision_plan_show_response_spec.rb +754 -15
- data/spec/models/vision_plan_spec.rb +767 -28
- data/spec/models/vision_plan_update_request_spec.rb +754 -15
- data/spec/models/vision_plan_update_spec.rb +763 -24
- data/spec/models/zip_code_spec.rb +754 -15
- data/spec/models/zip_counties_response_spec.rb +756 -17
- data/spec/models/zip_county_bulk_spec.rb +757 -18
- data/spec/models/zip_county_response_spec.rb +754 -15
- data/spec/models/zip_county_spec.rb +754 -15
- data/spec/spec_helper.rb +754 -15
- data/vericred_client.gemspec +754 -15
- metadata +315 -95
data/docs/ACAPlan.md
CHANGED
@@ -3,37 +3,34 @@
|
|
3
3
|
## Properties
|
4
4
|
Name | Type | Description | Notes
|
5
5
|
------------ | ------------- | ------------- | -------------
|
6
|
-
**
|
7
|
-
**display_name** | **String** | Alternate name for the Plan | [optional]
|
8
|
-
**effective_date** | **String** | Effective date of coverage. | [optional]
|
9
|
-
**expiration_date** | **String** | Expiration date of coverage. | [optional]
|
10
|
-
**identifiers** | [**Array<PlanIdentifier>**](PlanIdentifier.md) | List of identifiers of this Plan | [optional]
|
11
|
-
**name** | **String** | Marketing name of the plan | [optional]
|
12
|
-
**network_ids** | **Array<Integer>** | List of Vericred-generated network_ids | [optional]
|
13
|
-
**network_size** | **Integer** | Total number of Providers in network | [optional]
|
14
|
-
**plan_type** | **String** | Category of the plan (e.g. EPO, HMO, PPO, POS, Indemnity, PACE, Medicare-Medicaid, HMO w/POS, Cost, FFS, MSA) | [optional]
|
15
|
-
**service_area_id** | **String** | Foreign key for service area | [optional]
|
16
|
-
**source** | **String** | Source of the plan benefit data | [optional]
|
17
|
-
**type** | **String** | The type of the Plan | [optional]
|
6
|
+
**actuarial_value** | **Float** | Percentage of total average costs for covered benefits that a plan will cover. | [optional]
|
18
7
|
**adult_dental** | **BOOLEAN** | Does the plan provide dental coverage for adults? | [optional]
|
19
8
|
**age29_rider** | **BOOLEAN** | True if the plan allows dependents up to age 29 | [optional]
|
20
9
|
**ambulance** | **String** | Benefits string for ambulance coverage | [optional]
|
21
10
|
**benefits_summary_url** | **String** | Link to the summary of benefits and coverage (SBC) document. | [optional]
|
22
11
|
**buy_link** | **String** | Link to a location to purchase the plan. | [optional]
|
12
|
+
**carrier_name** | **String** | Name of the insurance carrier | [optional]
|
23
13
|
**child_dental** | **BOOLEAN** | Does the plan provide dental coverage for children? | [optional]
|
24
|
-
**child_eyewear** | **String** | Child eyewear benefits summary | [optional]
|
25
14
|
**child_eye_exam** | **String** | Child eye exam benefits summary | [optional]
|
15
|
+
**child_eyewear** | **String** | Child eyewear benefits summary | [optional]
|
16
|
+
**chiropractic_services** | **String** | Chiropractic services benefits summary | [optional]
|
17
|
+
**coinsurance** | **Float** | Standard cost share for most benefits | [optional]
|
26
18
|
**customer_service_phone_number** | **String** | Phone number to contact the insurance carrier | [optional]
|
27
|
-
**durable_medical_equipment** | **String** | Benefits summary for durable medical equipment | [optional]
|
28
19
|
**diagnostic_test** | **String** | Diagnostic tests benefit summary | [optional]
|
20
|
+
**display_name** | **String** | Alternate name for the Plan | [optional]
|
29
21
|
**dp_rider** | **BOOLEAN** | True if plan does not cover domestic partners | [optional]
|
30
22
|
**drug_formulary_url** | **String** | Link to the summary of drug benefits for the plan | [optional]
|
23
|
+
**durable_medical_equipment** | **String** | Benefits summary for durable medical equipment | [optional]
|
24
|
+
**effective_date** | **String** | Effective date of coverage. | [optional]
|
25
|
+
**embedded_deductible** | **String** | Is the individual deductible for each covered person, embedded in the family deductible | [optional]
|
31
26
|
**emergency_room** | **String** | Description of costs when visiting the ER | [optional]
|
27
|
+
**expiration_date** | **String** | Expiration date of coverage. | [optional]
|
32
28
|
**family_drug_deductible** | **String** | Deductible for drugs when a family is on the plan. | [optional]
|
33
29
|
**family_drug_moop** | **String** | Maximum out-of-pocket for drugs when a family is on the plan | [optional]
|
34
30
|
**family_medical_deductible** | **String** | Deductible when a family is on the plan | [optional]
|
35
31
|
**family_medical_moop** | **String** | Maximum out-of-pocket when a family is on the plan | [optional]
|
36
32
|
**fp_rider** | **BOOLEAN** | True if plan does not cover family planning | [optional]
|
33
|
+
**gated** | **BOOLEAN** | Does the plan's network require a physician referral? | [optional]
|
37
34
|
**generic_drugs** | **String** | Cost for generic drugs | [optional]
|
38
35
|
**habilitation_services** | **String** | Habilitation services benefits summary | [optional]
|
39
36
|
**hios_issuer_id** | **String** | | [optional]
|
@@ -41,7 +38,11 @@ Name | Type | Description | Notes
|
|
41
38
|
**hospice_service** | **String** | Hospice service benefits summary | [optional]
|
42
39
|
**hsa_eligible** | **BOOLEAN** | Is the plan HSA eligible? | [optional]
|
43
40
|
**id** | **String** | Government-issued HIOS plan ID | [optional]
|
41
|
+
**identifiers** | [**Array<PlanIdentifier>**](PlanIdentifier.md) | List of identifiers of this Plan | [optional]
|
44
42
|
**imaging** | **String** | Benefits summary for imaging coverage | [optional]
|
43
|
+
**imaging_center** | **String** | Imaging center benefits summary | [optional]
|
44
|
+
**imaging_physician** | **String** | Imaging physician benefits summary | [optional]
|
45
|
+
**in_network_ids** | **Array<Integer>** | List of NPI numbers for Providers passed in who accept this Plan | [optional]
|
45
46
|
**individual_drug_deductible** | **String** | Deductible for drugs when an individual is on the plan | [optional]
|
46
47
|
**individual_drug_moop** | **String** | Maximum out-of-pocket for drugs when an individual is on the plan | [optional]
|
47
48
|
**individual_medical_deductible** | **String** | Deductible when an individual is on the plan | [optional]
|
@@ -51,46 +52,45 @@ Name | Type | Description | Notes
|
|
51
52
|
**inpatient_mental_health** | **String** | Inpatient mental helath benefits summary | [optional]
|
52
53
|
**inpatient_physician** | **String** | Cost under the plan for an inpatient physician | [optional]
|
53
54
|
**inpatient_substance** | **String** | Inpatient substance abuse benefits summary | [optional]
|
54
|
-
**
|
55
|
+
**lab_test** | **String** | Lab test benefits summary | [optional]
|
55
56
|
**level** | **String** | Plan metal grouping (e.g. platinum, gold, silver, etc) | [optional]
|
56
57
|
**logo_url** | **String** | Link to a copy of the insurance carrier's logo | [optional]
|
58
|
+
**mail_order_rx** | **Float** | Multiple of the standard Rx cost share for orders filled via mail order | [optional]
|
59
|
+
**name** | **String** | Marketing name of the plan | [optional]
|
60
|
+
**network_ids** | **Array<Integer>** | List of Vericred-generated network_ids | [optional]
|
61
|
+
**network_size** | **Integer** | Total number of Providers in network | [optional]
|
57
62
|
**non_preferred_brand_drugs** | **String** | Cost under the plan for non-preferred brand drugs | [optional]
|
58
|
-
**
|
63
|
+
**nonpreferred_generic_drug_share** | **String** | Non-preferred generic drugs benefits summary | [optional]
|
64
|
+
**nonpreferred_specialty_drug_share** | **String** | Non-preferred specialty drugs benefits summary | [optional]
|
59
65
|
**off_market** | **BOOLEAN** | Is the plan off-market? | [optional]
|
66
|
+
**on_market** | **BOOLEAN** | Is the plan on-market? | [optional]
|
60
67
|
**out_of_network_coverage** | **BOOLEAN** | Does this plan provide any out of network coverage? | [optional]
|
61
68
|
**out_of_network_ids** | **Array<Integer>** | List of NPI numbers for Providers passed in who do not accept this Plan | [optional]
|
69
|
+
**outpatient_ambulatory_care_center** | **String** | Outpatient ambulatory care center benefits summary | [optional]
|
62
70
|
**outpatient_facility** | **String** | Benefits summary for outpatient facility coverage | [optional]
|
63
71
|
**outpatient_mental_health** | **String** | Benefits summary for outpatient mental health coverage | [optional]
|
64
72
|
**outpatient_physician** | **String** | Benefits summary for outpatient physician coverage | [optional]
|
65
73
|
**outpatient_substance** | **String** | Outpatient substance abuse benefits summary | [optional]
|
74
|
+
**plan_calendar** | **String** | Are deductibles and MOOPs reset on Dec-31 (\"calendar year\"), 365 day(s) after enrollment date (\"plan year\"), or are both options available (\"both\")? | [optional]
|
66
75
|
**plan_market** | **String** | Market in which the plan is offered (on_marketplace, shop, etc) | [optional]
|
76
|
+
**plan_type** | **String** | Category of the plan (e.g. EPO, HMO, PPO, POS, Indemnity, PACE, Medicare-Medicaid, HMO w/POS, Cost, FFS, MSA) | [optional]
|
77
|
+
**postnatal_care** | **String** | Post-natal care benefits summary | [optional]
|
67
78
|
**preferred_brand_drugs** | **String** | Cost under the plan for perferred brand drugs | [optional]
|
68
|
-
**prenatal_postnatal_care** | **String** | Inpatient substance abuse benefits summary | [optional]
|
69
|
-
**preventative_care** | **String** | Benefits summary for preventative care | [optional]
|
70
|
-
**premium_subsidized** | **Float** | Cumulative premium amount after subsidy | [optional]
|
71
79
|
**premium** | **Float** | Cumulative premium amount | [optional]
|
72
80
|
**premium_source** | **String** | Source of the base pricing data | [optional]
|
81
|
+
**premium_subsidized** | **Float** | Cumulative premium amount after subsidy | [optional]
|
82
|
+
**prenatal_care** | **String** | Prenatal care benefits summary | [optional]
|
83
|
+
**prenatal_postnatal_care** | **String** | Inpatient substance abuse benefits summary | [optional]
|
84
|
+
**preventative_care** | **String** | Benefits summary for preventative care | [optional]
|
73
85
|
**primary_care_physician** | **String** | Cost under the plan to visit a Primary Care Physician | [optional]
|
74
86
|
**rehabilitation_services** | **String** | Benefits summary for rehabilitation services | [optional]
|
87
|
+
**service_area_id** | **String** | Foreign key for service area | [optional]
|
75
88
|
**skilled_nursing** | **String** | Benefits summary for skilled nursing services | [optional]
|
89
|
+
**skilled_nursing_facility_365** | **String** | Does the plan cover full-time, year-round, nursing facilities? | [optional]
|
90
|
+
**source** | **String** | Source of the plan benefit data | [optional]
|
76
91
|
**specialist** | **String** | Cost under the plan to visit a specialist | [optional]
|
77
92
|
**specialty_drugs** | **String** | Cost under the plan for specialty drugs | [optional]
|
93
|
+
**type** | **String** | The type of the Plan | [optional]
|
78
94
|
**urgent_care** | **String** | Benefits summary for urgent care | [optional]
|
79
|
-
**actuarial_value** | **Float** | Percentage of total average costs for covered benefits that a plan will cover. | [optional]
|
80
|
-
**chiropractic_services** | **String** | Chiropractic services benefits summary | [optional]
|
81
|
-
**coinsurance** | **Float** | Standard cost share for most benefits | [optional]
|
82
|
-
**embedded_deductible** | **String** | Is the individual deductible for each covered person, embedded in the family deductible | [optional]
|
83
|
-
**gated** | **BOOLEAN** | Does the plan's network require a physician referral? | [optional]
|
84
|
-
**imaging_center** | **String** | Imaging center benefits summary | [optional]
|
85
|
-
**imaging_physician** | **String** | Imaging physician benefits summary | [optional]
|
86
|
-
**lab_test** | **String** | Lab test benefits summary | [optional]
|
87
|
-
**mail_order_rx** | **Float** | Multiple of the standard Rx cost share for orders filled via mail order | [optional]
|
88
|
-
**nonpreferred_generic_drug_share** | **String** | Non-preferred generic drugs benefits summary | [optional]
|
89
|
-
**nonpreferred_specialty_drug_share** | **String** | Non-preferred specialty drugs benefits summary | [optional]
|
90
|
-
**outpatient_ambulatory_care_center** | **String** | Outpatient ambulatory care center benefits summary | [optional]
|
91
|
-
**plan_calendar** | **String** | Are deductibles and MOOPs reset on Dec-31 (\"calendar year\"), 365 days after enrollment date (\"plan year\"), or are both options available (\"both\")? | [optional]
|
92
|
-
**prenatal_care** | **String** | Prenatal care benefits summary | [optional]
|
93
|
-
**postnatal_care** | **String** | Post-natal care benefits summary | [optional]
|
94
|
-
**skilled_nursing_facility_365** | **String** | Does the plan cover full-time, year-round, nursing facilities? | [optional]
|
95
95
|
|
96
96
|
|
data/docs/ACAPlan2018.md
CHANGED
@@ -3,37 +3,35 @@
|
|
3
3
|
## Properties
|
4
4
|
Name | Type | Description | Notes
|
5
5
|
------------ | ------------- | ------------- | -------------
|
6
|
-
**
|
7
|
-
**display_name** | **String** | Alternate name for the Plan | [optional]
|
8
|
-
**effective_date** | **String** | Effective date of coverage. | [optional]
|
9
|
-
**expiration_date** | **String** | Expiration date of coverage. | [optional]
|
10
|
-
**identifiers** | [**Array<PlanIdentifier>**](PlanIdentifier.md) | List of identifiers of this Plan | [optional]
|
11
|
-
**name** | **String** | Marketing name of the plan | [optional]
|
12
|
-
**network_ids** | **Array<Integer>** | List of Vericred-generated network_ids | [optional]
|
13
|
-
**network_size** | **Integer** | Total number of Providers in network | [optional]
|
14
|
-
**plan_type** | **String** | Category of the plan (e.g. EPO, HMO, PPO, POS, Indemnity, PACE, Medicare-Medicaid, HMO w/POS, Cost, FFS, MSA) | [optional]
|
15
|
-
**service_area_id** | **String** | Foreign key for service area | [optional]
|
16
|
-
**source** | **String** | Source of the plan benefit data | [optional]
|
17
|
-
**type** | **String** | The type of the Plan | [optional]
|
6
|
+
**actuarial_value** | **Float** | Percentage of total average costs for covered benefits that a plan will cover. | [optional]
|
18
7
|
**adult_dental** | **BOOLEAN** | Does the plan provide dental coverage for adults? | [optional]
|
19
8
|
**age29_rider** | **BOOLEAN** | True if the plan allows dependents up to age 29 | [optional]
|
20
9
|
**ambulance** | **String** | Benefits string for ambulance coverage | [optional]
|
21
10
|
**benefits_summary_url** | **String** | Link to the summary of benefits and coverage (SBC) document. | [optional]
|
22
11
|
**buy_link** | **String** | Link to a location to purchase the plan. | [optional]
|
12
|
+
**carrier_name** | **String** | Name of the insurance carrier | [optional]
|
23
13
|
**child_dental** | **BOOLEAN** | Does the plan provide dental coverage for children? | [optional]
|
24
|
-
**child_eyewear** | **String** | Child eyewear benefits summary | [optional]
|
25
14
|
**child_eye_exam** | **String** | Child eye exam benefits summary | [optional]
|
15
|
+
**child_eyewear** | **String** | Child eyewear benefits summary | [optional]
|
16
|
+
**chiropractic_services** | **String** | Chiropractic services benefits summary | [optional]
|
17
|
+
**coinsurance** | **Float** | Standard cost share for most benefits | [optional]
|
26
18
|
**customer_service_phone_number** | **String** | Phone number to contact the insurance carrier | [optional]
|
27
|
-
**durable_medical_equipment** | **String** | Benefits summary for durable medical equipment | [optional]
|
28
19
|
**diagnostic_test** | **String** | Diagnostic tests benefit summary | [optional]
|
20
|
+
**display_name** | **String** | Alternate name for the Plan | [optional]
|
29
21
|
**dp_rider** | **BOOLEAN** | True if plan does not cover domestic partners | [optional]
|
30
22
|
**drug_formulary_url** | **String** | Link to the summary of drug benefits for the plan | [optional]
|
23
|
+
**durable_medical_equipment** | **String** | Benefits summary for durable medical equipment | [optional]
|
24
|
+
**effective_date** | **String** | Effective date of coverage. | [optional]
|
25
|
+
**embedded_deductible** | **String** | Is the individual deductible for each covered person, embedded in the family deductible | [optional]
|
31
26
|
**emergency_room** | **String** | Description of costs when visiting the ER | [optional]
|
27
|
+
**essential_health_benefits_percentage** | **Float** | Percentage of essential plan benefits | [optional]
|
28
|
+
**expiration_date** | **String** | Expiration date of coverage. | [optional]
|
32
29
|
**family_drug_deductible** | **String** | Deductible for drugs when a family is on the plan. | [optional]
|
33
30
|
**family_drug_moop** | **String** | Maximum out-of-pocket for drugs when a family is on the plan | [optional]
|
34
31
|
**family_medical_deductible** | **String** | Deductible when a family is on the plan | [optional]
|
35
32
|
**family_medical_moop** | **String** | Maximum out-of-pocket when a family is on the plan | [optional]
|
36
33
|
**fp_rider** | **BOOLEAN** | True if plan does not cover family planning | [optional]
|
34
|
+
**gated** | **BOOLEAN** | Does the plan's network require a physician referral? | [optional]
|
37
35
|
**generic_drugs** | **String** | Cost for generic drugs | [optional]
|
38
36
|
**habilitation_services** | **String** | Habilitation services benefits summary | [optional]
|
39
37
|
**hios_issuer_id** | **String** | | [optional]
|
@@ -41,7 +39,11 @@ Name | Type | Description | Notes
|
|
41
39
|
**hospice_service** | **String** | Hospice service benefits summary | [optional]
|
42
40
|
**hsa_eligible** | **BOOLEAN** | Is the plan HSA eligible? | [optional]
|
43
41
|
**id** | **String** | Government-issued HIOS plan ID | [optional]
|
42
|
+
**identifiers** | [**Array<PlanIdentifier>**](PlanIdentifier.md) | List of identifiers of this Plan | [optional]
|
44
43
|
**imaging** | **String** | Benefits summary for imaging coverage | [optional]
|
44
|
+
**imaging_center** | **String** | Imaging center benefits summary | [optional]
|
45
|
+
**imaging_physician** | **String** | Imaging physician benefits summary | [optional]
|
46
|
+
**in_network_ids** | **Array<Integer>** | List of NPI numbers for Providers passed in who accept this Plan | [optional]
|
45
47
|
**individual_drug_deductible** | **String** | Deductible for drugs when an individual is on the plan | [optional]
|
46
48
|
**individual_drug_moop** | **String** | Maximum out-of-pocket for drugs when an individual is on the plan | [optional]
|
47
49
|
**individual_medical_deductible** | **String** | Deductible when an individual is on the plan | [optional]
|
@@ -51,47 +53,45 @@ Name | Type | Description | Notes
|
|
51
53
|
**inpatient_mental_health** | **String** | Inpatient mental helath benefits summary | [optional]
|
52
54
|
**inpatient_physician** | **String** | Cost under the plan for an inpatient physician | [optional]
|
53
55
|
**inpatient_substance** | **String** | Inpatient substance abuse benefits summary | [optional]
|
54
|
-
**
|
56
|
+
**lab_test** | **String** | Lab test benefits summary | [optional]
|
55
57
|
**level** | **String** | Plan metal grouping (e.g. platinum, gold, silver, etc) | [optional]
|
56
58
|
**logo_url** | **String** | Link to a copy of the insurance carrier's logo | [optional]
|
59
|
+
**mail_order_rx** | **Float** | Multiple of the standard Rx cost share for orders filled via mail order | [optional]
|
60
|
+
**name** | **String** | Marketing name of the plan | [optional]
|
61
|
+
**network_ids** | **Array<Integer>** | List of Vericred-generated network_ids | [optional]
|
62
|
+
**network_size** | **Integer** | Total number of Providers in network | [optional]
|
57
63
|
**non_preferred_brand_drugs** | **String** | Cost under the plan for non-preferred brand drugs | [optional]
|
58
|
-
**
|
64
|
+
**nonpreferred_generic_drug_share** | **String** | Non-preferred generic drugs benefits summary | [optional]
|
65
|
+
**nonpreferred_specialty_drug_share** | **String** | Non-preferred specialty drugs benefits summary | [optional]
|
59
66
|
**off_market** | **BOOLEAN** | Is the plan off-market? | [optional]
|
67
|
+
**on_market** | **BOOLEAN** | Is the plan on-market? | [optional]
|
60
68
|
**out_of_network_coverage** | **BOOLEAN** | Does this plan provide any out of network coverage? | [optional]
|
61
69
|
**out_of_network_ids** | **Array<Integer>** | List of NPI numbers for Providers passed in who do not accept this Plan | [optional]
|
70
|
+
**outpatient_ambulatory_care_center** | **String** | Outpatient ambulatory care center benefits summary | [optional]
|
62
71
|
**outpatient_facility** | **String** | Benefits summary for outpatient facility coverage | [optional]
|
63
72
|
**outpatient_mental_health** | **String** | Benefits summary for outpatient mental health coverage | [optional]
|
64
73
|
**outpatient_physician** | **String** | Benefits summary for outpatient physician coverage | [optional]
|
65
74
|
**outpatient_substance** | **String** | Outpatient substance abuse benefits summary | [optional]
|
75
|
+
**plan_calendar** | **String** | Are deductibles and MOOPs reset on Dec-31 (\"calendar year\"), 365 day(s) after enrollment date (\"plan year\"), or are both options available (\"both\")? | [optional]
|
66
76
|
**plan_market** | **String** | Market in which the plan is offered (on_marketplace, shop, etc) | [optional]
|
77
|
+
**plan_type** | **String** | Category of the plan (e.g. EPO, HMO, PPO, POS, Indemnity, PACE, Medicare-Medicaid, HMO w/POS, Cost, FFS, MSA) | [optional]
|
78
|
+
**postnatal_care** | **String** | Post-natal care benefits summary | [optional]
|
67
79
|
**preferred_brand_drugs** | **String** | Cost under the plan for perferred brand drugs | [optional]
|
68
|
-
**prenatal_postnatal_care** | **String** | Inpatient substance abuse benefits summary | [optional]
|
69
|
-
**preventative_care** | **String** | Benefits summary for preventative care | [optional]
|
70
|
-
**premium_subsidized** | **Float** | Cumulative premium amount after subsidy | [optional]
|
71
80
|
**premium** | **Float** | Cumulative premium amount | [optional]
|
72
81
|
**premium_source** | **String** | Source of the base pricing data | [optional]
|
82
|
+
**premium_subsidized** | **Float** | Cumulative premium amount after subsidy | [optional]
|
83
|
+
**prenatal_care** | **String** | Prenatal care benefits summary | [optional]
|
84
|
+
**prenatal_postnatal_care** | **String** | Inpatient substance abuse benefits summary | [optional]
|
85
|
+
**preventative_care** | **String** | Benefits summary for preventative care | [optional]
|
73
86
|
**primary_care_physician** | **String** | Cost under the plan to visit a Primary Care Physician | [optional]
|
74
87
|
**rehabilitation_services** | **String** | Benefits summary for rehabilitation services | [optional]
|
88
|
+
**service_area_id** | **String** | Foreign key for service area | [optional]
|
75
89
|
**skilled_nursing** | **String** | Benefits summary for skilled nursing services | [optional]
|
90
|
+
**skilled_nursing_facility_365** | **String** | Does the plan cover full-time, year-round, nursing facilities? | [optional]
|
91
|
+
**source** | **String** | Source of the plan benefit data | [optional]
|
76
92
|
**specialist** | **String** | Cost under the plan to visit a specialist | [optional]
|
77
93
|
**specialty_drugs** | **String** | Cost under the plan for specialty drugs | [optional]
|
94
|
+
**type** | **String** | The type of the Plan | [optional]
|
78
95
|
**urgent_care** | **String** | Benefits summary for urgent care | [optional]
|
79
|
-
**actuarial_value** | **Float** | Percentage of total average costs for covered benefits that a plan will cover. | [optional]
|
80
|
-
**chiropractic_services** | **String** | Chiropractic services benefits summary | [optional]
|
81
|
-
**coinsurance** | **Float** | Standard cost share for most benefits | [optional]
|
82
|
-
**embedded_deductible** | **String** | Is the individual deductible for each covered person, embedded in the family deductible | [optional]
|
83
|
-
**gated** | **BOOLEAN** | Does the plan's network require a physician referral? | [optional]
|
84
|
-
**imaging_center** | **String** | Imaging center benefits summary | [optional]
|
85
|
-
**imaging_physician** | **String** | Imaging physician benefits summary | [optional]
|
86
|
-
**lab_test** | **String** | Lab test benefits summary | [optional]
|
87
|
-
**mail_order_rx** | **Float** | Multiple of the standard Rx cost share for orders filled via mail order | [optional]
|
88
|
-
**nonpreferred_generic_drug_share** | **String** | Non-preferred generic drugs benefits summary | [optional]
|
89
|
-
**nonpreferred_specialty_drug_share** | **String** | Non-preferred specialty drugs benefits summary | [optional]
|
90
|
-
**outpatient_ambulatory_care_center** | **String** | Outpatient ambulatory care center benefits summary | [optional]
|
91
|
-
**plan_calendar** | **String** | Are deductibles and MOOPs reset on Dec-31 (\"calendar year\"), 365 days after enrollment date (\"plan year\"), or are both options available (\"both\")? | [optional]
|
92
|
-
**prenatal_care** | **String** | Prenatal care benefits summary | [optional]
|
93
|
-
**postnatal_care** | **String** | Post-natal care benefits summary | [optional]
|
94
|
-
**skilled_nursing_facility_365** | **String** | Does the plan cover full-time, year-round, nursing facilities? | [optional]
|
95
|
-
**essential_health_benefits_percentage** | **Float** | Percentage of essential plan benefits | [optional]
|
96
96
|
|
97
97
|
|
@@ -3,8 +3,8 @@
|
|
3
3
|
## Properties
|
4
4
|
Name | Type | Description | Notes
|
5
5
|
------------ | ------------- | ------------- | -------------
|
6
|
-
**meta** | [**Meta**](Meta.md) | Meta-data | [optional]
|
7
6
|
**coverages** | [**Array<DrugCoverage>**](DrugCoverage.md) | Coverages associated with the plan. | [optional]
|
7
|
+
**meta** | [**Meta**](Meta.md) | Meta-data | [optional]
|
8
8
|
**plans** | [**Array<ACAPlan2018>**](ACAPlan2018.md) | Plan search results | [optional]
|
9
9
|
|
10
10
|
|
@@ -3,36 +3,37 @@
|
|
3
3
|
## Properties
|
4
4
|
Name | Type | Description | Notes
|
5
5
|
------------ | ------------- | ------------- | -------------
|
6
|
-
**
|
7
|
-
**display_name** | **String** | Alternate name for the Plan | [optional]
|
8
|
-
**effective_date** | **String** | Effective date of coverage. | [optional]
|
9
|
-
**expiration_date** | **String** | Expiration date of coverage. | [optional]
|
10
|
-
**identifiers** | [**Array<PlanIdentifier>**](PlanIdentifier.md) | List of identifiers of this Plan | [optional]
|
11
|
-
**name** | **String** | Marketing name of the plan | [optional]
|
12
|
-
**network_ids** | **Array<Integer>** | List of Vericred-generated network_ids | [optional]
|
13
|
-
**plan_type** | **String** | Category of the plan (e.g. EPO, HMO, PPO, POS, Indemnity, PACE, Medicare-Medicaid, HMO w/POS, Cost, FFS, MSA) | [optional]
|
14
|
-
**service_area_id** | **String** | Foreign key for service area | [optional]
|
15
|
-
**source** | **String** | Source of the plan benefit data | [optional]
|
16
|
-
**type** | **String** | The type of the Plan | [optional]
|
6
|
+
**actuarial_value** | **Float** | Percentage of total average costs for covered benefits that a plan will cover. | [optional]
|
17
7
|
**adult_dental** | **BOOLEAN** | Does the plan provide dental coverage for adults? | [optional]
|
18
8
|
**age29_rider** | **BOOLEAN** | True if the plan allows dependents up to age 29 | [optional]
|
19
9
|
**ambulance** | **String** | Benefits string for ambulance coverage | [optional]
|
20
10
|
**benefits_summary_url** | **String** | Link to the summary of benefits and coverage (SBC) document. | [optional]
|
21
11
|
**buy_link** | **String** | Link to a location to purchase the plan. | [optional]
|
12
|
+
**carrier_name** | **String** | Name of the insurance carrier | [optional]
|
22
13
|
**child_dental** | **BOOLEAN** | Does the plan provide dental coverage for children? | [optional]
|
23
|
-
**child_eyewear** | **String** | Child eyewear benefits summary | [optional]
|
24
14
|
**child_eye_exam** | **String** | Child eye exam benefits summary | [optional]
|
15
|
+
**child_eyewear** | **String** | Child eyewear benefits summary | [optional]
|
16
|
+
**chiropractic_services** | **String** | Chiropractic services benefits summary | [optional]
|
17
|
+
**coinsurance** | **Float** | Standard cost share for most benefits | [optional]
|
25
18
|
**customer_service_phone_number** | **String** | Phone number to contact the insurance carrier | [optional]
|
26
|
-
**
|
19
|
+
**dependent_premium** | **Float** | Cumulative premium amount for dependents | [optional]
|
27
20
|
**diagnostic_test** | **String** | Diagnostic tests benefit summary | [optional]
|
21
|
+
**display_name** | **String** | Alternate name for the Plan | [optional]
|
28
22
|
**dp_rider** | **BOOLEAN** | True if plan does not cover domestic partners | [optional]
|
29
23
|
**drug_formulary_url** | **String** | Link to the summary of drug benefits for the plan | [optional]
|
24
|
+
**durable_medical_equipment** | **String** | Benefits summary for durable medical equipment | [optional]
|
25
|
+
**effective_date** | **String** | Effective date of coverage. | [optional]
|
26
|
+
**embedded_deductible** | **String** | Is the individual deductible for each covered person, embedded in the family deductible | [optional]
|
30
27
|
**emergency_room** | **String** | Description of costs when visiting the ER | [optional]
|
28
|
+
**employee_premium** | **Float** | Cumulative premium amount for employees | [optional]
|
29
|
+
**essential_health_benefits_percentage** | **Float** | Percentage of essential plan benefits | [optional]
|
30
|
+
**expiration_date** | **String** | Expiration date of coverage. | [optional]
|
31
31
|
**family_drug_deductible** | **String** | Deductible for drugs when a family is on the plan. | [optional]
|
32
32
|
**family_drug_moop** | **String** | Maximum out-of-pocket for drugs when a family is on the plan | [optional]
|
33
33
|
**family_medical_deductible** | **String** | Deductible when a family is on the plan | [optional]
|
34
34
|
**family_medical_moop** | **String** | Maximum out-of-pocket when a family is on the plan | [optional]
|
35
35
|
**fp_rider** | **BOOLEAN** | True if plan does not cover family planning | [optional]
|
36
|
+
**gated** | **BOOLEAN** | Does the plan's network require a physician referral? | [optional]
|
36
37
|
**generic_drugs** | **String** | Cost for generic drugs | [optional]
|
37
38
|
**habilitation_services** | **String** | Habilitation services benefits summary | [optional]
|
38
39
|
**hios_issuer_id** | **String** | | [optional]
|
@@ -40,7 +41,11 @@ Name | Type | Description | Notes
|
|
40
41
|
**hospice_service** | **String** | Hospice service benefits summary | [optional]
|
41
42
|
**hsa_eligible** | **BOOLEAN** | Is the plan HSA eligible? | [optional]
|
42
43
|
**id** | **String** | Government-issued HIOS plan ID | [optional]
|
44
|
+
**identifiers** | [**Array<PlanIdentifier>**](PlanIdentifier.md) | List of identifiers of this Plan | [optional]
|
43
45
|
**imaging** | **String** | Benefits summary for imaging coverage | [optional]
|
46
|
+
**imaging_center** | **String** | Imaging center benefits summary | [optional]
|
47
|
+
**imaging_physician** | **String** | Imaging physician benefits summary | [optional]
|
48
|
+
**in_network_ids** | **Array<Integer>** | List of NPI numbers for Providers passed in who accept this Plan | [optional]
|
44
49
|
**individual_drug_deductible** | **String** | Deductible for drugs when an individual is on the plan | [optional]
|
45
50
|
**individual_drug_moop** | **String** | Maximum out-of-pocket for drugs when an individual is on the plan | [optional]
|
46
51
|
**individual_medical_deductible** | **String** | Deductible when an individual is on the plan | [optional]
|
@@ -50,51 +55,46 @@ Name | Type | Description | Notes
|
|
50
55
|
**inpatient_mental_health** | **String** | Inpatient mental helath benefits summary | [optional]
|
51
56
|
**inpatient_physician** | **String** | Cost under the plan for an inpatient physician | [optional]
|
52
57
|
**inpatient_substance** | **String** | Inpatient substance abuse benefits summary | [optional]
|
53
|
-
**
|
58
|
+
**lab_test** | **String** | Lab test benefits summary | [optional]
|
54
59
|
**level** | **String** | Plan metal grouping (e.g. platinum, gold, silver, etc) | [optional]
|
55
60
|
**logo_url** | **String** | Link to a copy of the insurance carrier's logo | [optional]
|
61
|
+
**mail_order_rx** | **Float** | Multiple of the standard Rx cost share for orders filled via mail order | [optional]
|
62
|
+
**match_percentage** | **Integer** | Percentage of doctors who matched this Plan | [optional]
|
63
|
+
**name** | **String** | Marketing name of the plan | [optional]
|
64
|
+
**network_ids** | **Array<Integer>** | List of Vericred-generated network_ids | [optional]
|
56
65
|
**non_preferred_brand_drugs** | **String** | Cost under the plan for non-preferred brand drugs | [optional]
|
57
|
-
**
|
66
|
+
**nonpreferred_generic_drug_share** | **String** | Non-preferred generic drugs benefits summary | [optional]
|
67
|
+
**nonpreferred_specialty_drug_share** | **String** | Non-preferred specialty drugs benefits summary | [optional]
|
58
68
|
**off_market** | **BOOLEAN** | Is the plan off-market? | [optional]
|
69
|
+
**on_market** | **BOOLEAN** | Is the plan on-market? | [optional]
|
59
70
|
**out_of_network_coverage** | **BOOLEAN** | Does this plan provide any out of network coverage? | [optional]
|
60
71
|
**out_of_network_ids** | **Array<Integer>** | List of NPI numbers for Providers passed in who do not accept this Plan | [optional]
|
72
|
+
**outpatient_ambulatory_care_center** | **String** | Outpatient ambulatory care center benefits summary | [optional]
|
61
73
|
**outpatient_facility** | **String** | Benefits summary for outpatient facility coverage | [optional]
|
62
74
|
**outpatient_mental_health** | **String** | Benefits summary for outpatient mental health coverage | [optional]
|
63
75
|
**outpatient_physician** | **String** | Benefits summary for outpatient physician coverage | [optional]
|
64
76
|
**outpatient_substance** | **String** | Outpatient substance abuse benefits summary | [optional]
|
77
|
+
**perfect_match_percentage** | **Integer** | Percentage of employees with 100% matchedch | [optional]
|
78
|
+
**plan_calendar** | **String** | Are deductibles and MOOPs reset on Dec-31 (\"calendar year\"), 365 day(s) after enrollment date (\"plan year\"), or are both options available (\"both\")? | [optional]
|
65
79
|
**plan_market** | **String** | Market in which the plan is offered (on_marketplace, shop, etc) | [optional]
|
80
|
+
**plan_type** | **String** | Category of the plan (e.g. EPO, HMO, PPO, POS, Indemnity, PACE, Medicare-Medicaid, HMO w/POS, Cost, FFS, MSA) | [optional]
|
81
|
+
**postnatal_care** | **String** | Post-natal care benefits summary | [optional]
|
66
82
|
**preferred_brand_drugs** | **String** | Cost under the plan for perferred brand drugs | [optional]
|
67
|
-
**prenatal_postnatal_care** | **String** | Inpatient substance abuse benefits summary | [optional]
|
68
|
-
**preventative_care** | **String** | Benefits summary for preventative care | [optional]
|
69
|
-
**premium_subsidized** | **Float** | Cumulative premium amount after subsidy | [optional]
|
70
83
|
**premium** | **Float** | Cumulative premium amount | [optional]
|
71
84
|
**premium_source** | **String** | Source of the base pricing data | [optional]
|
85
|
+
**premium_subsidized** | **Float** | Cumulative premium amount after subsidy | [optional]
|
86
|
+
**prenatal_care** | **String** | Prenatal care benefits summary | [optional]
|
87
|
+
**prenatal_postnatal_care** | **String** | Inpatient substance abuse benefits summary | [optional]
|
88
|
+
**preventative_care** | **String** | Benefits summary for preventative care | [optional]
|
72
89
|
**primary_care_physician** | **String** | Cost under the plan to visit a Primary Care Physician | [optional]
|
73
90
|
**rehabilitation_services** | **String** | Benefits summary for rehabilitation services | [optional]
|
91
|
+
**service_area_id** | **String** | Foreign key for service area | [optional]
|
74
92
|
**skilled_nursing** | **String** | Benefits summary for skilled nursing services | [optional]
|
93
|
+
**skilled_nursing_facility_365** | **String** | Does the plan cover full-time, year-round, nursing facilities? | [optional]
|
94
|
+
**source** | **String** | Source of the plan benefit data | [optional]
|
75
95
|
**specialist** | **String** | Cost under the plan to visit a specialist | [optional]
|
76
96
|
**specialty_drugs** | **String** | Cost under the plan for specialty drugs | [optional]
|
97
|
+
**type** | **String** | The type of the Plan | [optional]
|
77
98
|
**urgent_care** | **String** | Benefits summary for urgent care | [optional]
|
78
|
-
**actuarial_value** | **Float** | Percentage of total average costs for covered benefits that a plan will cover. | [optional]
|
79
|
-
**chiropractic_services** | **String** | Chiropractic services benefits summary | [optional]
|
80
|
-
**coinsurance** | **Float** | Standard cost share for most benefits | [optional]
|
81
|
-
**embedded_deductible** | **String** | Is the individual deductible for each covered person, embedded in the family deductible | [optional]
|
82
|
-
**gated** | **BOOLEAN** | Does the plan's network require a physician referral? | [optional]
|
83
|
-
**imaging_center** | **String** | Imaging center benefits summary | [optional]
|
84
|
-
**imaging_physician** | **String** | Imaging physician benefits summary | [optional]
|
85
|
-
**lab_test** | **String** | Lab test benefits summary | [optional]
|
86
|
-
**mail_order_rx** | **Float** | Multiple of the standard Rx cost share for orders filled via mail order | [optional]
|
87
|
-
**nonpreferred_generic_drug_share** | **String** | Non-preferred generic drugs benefits summary | [optional]
|
88
|
-
**nonpreferred_specialty_drug_share** | **String** | Non-preferred specialty drugs benefits summary | [optional]
|
89
|
-
**outpatient_ambulatory_care_center** | **String** | Outpatient ambulatory care center benefits summary | [optional]
|
90
|
-
**plan_calendar** | **String** | Are deductibles and MOOPs reset on Dec-31 (\"calendar year\"), 365 days after enrollment date (\"plan year\"), or are both options available (\"both\")? | [optional]
|
91
|
-
**prenatal_care** | **String** | Prenatal care benefits summary | [optional]
|
92
|
-
**postnatal_care** | **String** | Post-natal care benefits summary | [optional]
|
93
|
-
**skilled_nursing_facility_365** | **String** | Does the plan cover full-time, year-round, nursing facilities? | [optional]
|
94
|
-
**essential_health_benefits_percentage** | **Float** | Percentage of essential plan benefits | [optional]
|
95
|
-
**match_percentage** | **Integer** | Percentage of doctors who matched this Plan | [optional]
|
96
|
-
**perfect_match_percentage** | **Integer** | Percentage of employees with 100% matchedch | [optional]
|
97
|
-
**employee_premium** | **Float** | Cumulative premium amount for employees | [optional]
|
98
|
-
**dependent_premium** | **Float** | Cumulative premium amount for dependents | [optional]
|
99
99
|
|
100
100
|
|
data/docs/ACAPlanPre2018.md
CHANGED
@@ -3,37 +3,34 @@
|
|
3
3
|
## Properties
|
4
4
|
Name | Type | Description | Notes
|
5
5
|
------------ | ------------- | ------------- | -------------
|
6
|
-
**
|
7
|
-
**display_name** | **String** | Alternate name for the Plan | [optional]
|
8
|
-
**effective_date** | **String** | Effective date of coverage. | [optional]
|
9
|
-
**expiration_date** | **String** | Expiration date of coverage. | [optional]
|
10
|
-
**identifiers** | [**Array<PlanIdentifier>**](PlanIdentifier.md) | List of identifiers of this Plan | [optional]
|
11
|
-
**name** | **String** | Marketing name of the plan | [optional]
|
12
|
-
**network_ids** | **Array<Integer>** | List of Vericred-generated network_ids | [optional]
|
13
|
-
**network_size** | **Integer** | Total number of Providers in network | [optional]
|
14
|
-
**plan_type** | **String** | Category of the plan (e.g. EPO, HMO, PPO, POS, Indemnity, PACE, Medicare-Medicaid, HMO w/POS, Cost, FFS, MSA) | [optional]
|
15
|
-
**service_area_id** | **String** | Foreign key for service area | [optional]
|
16
|
-
**source** | **String** | Source of the plan benefit data | [optional]
|
17
|
-
**type** | **String** | The type of the Plan | [optional]
|
6
|
+
**actuarial_value** | **Float** | Percentage of total average costs for covered benefits that a plan will cover. | [optional]
|
18
7
|
**adult_dental** | **BOOLEAN** | Does the plan provide dental coverage for adults? | [optional]
|
19
8
|
**age29_rider** | **BOOLEAN** | True if the plan allows dependents up to age 29 | [optional]
|
20
9
|
**ambulance** | **String** | Benefits string for ambulance coverage | [optional]
|
21
10
|
**benefits_summary_url** | **String** | Link to the summary of benefits and coverage (SBC) document. | [optional]
|
22
11
|
**buy_link** | **String** | Link to a location to purchase the plan. | [optional]
|
12
|
+
**carrier_name** | **String** | Name of the insurance carrier | [optional]
|
23
13
|
**child_dental** | **BOOLEAN** | Does the plan provide dental coverage for children? | [optional]
|
24
|
-
**child_eyewear** | **String** | Child eyewear benefits summary | [optional]
|
25
14
|
**child_eye_exam** | **String** | Child eye exam benefits summary | [optional]
|
15
|
+
**child_eyewear** | **String** | Child eyewear benefits summary | [optional]
|
16
|
+
**chiropractic_services** | **String** | Chiropractic services benefits summary | [optional]
|
17
|
+
**coinsurance** | **Float** | Standard cost share for most benefits | [optional]
|
26
18
|
**customer_service_phone_number** | **String** | Phone number to contact the insurance carrier | [optional]
|
27
|
-
**durable_medical_equipment** | **String** | Benefits summary for durable medical equipment | [optional]
|
28
19
|
**diagnostic_test** | **String** | Diagnostic tests benefit summary | [optional]
|
20
|
+
**display_name** | **String** | Alternate name for the Plan | [optional]
|
29
21
|
**dp_rider** | **BOOLEAN** | True if plan does not cover domestic partners | [optional]
|
30
22
|
**drug_formulary_url** | **String** | Link to the summary of drug benefits for the plan | [optional]
|
23
|
+
**durable_medical_equipment** | **String** | Benefits summary for durable medical equipment | [optional]
|
24
|
+
**effective_date** | **String** | Effective date of coverage. | [optional]
|
25
|
+
**embedded_deductible** | **String** | Is the individual deductible for each covered person, embedded in the family deductible | [optional]
|
31
26
|
**emergency_room** | **String** | Description of costs when visiting the ER | [optional]
|
27
|
+
**expiration_date** | **String** | Expiration date of coverage. | [optional]
|
32
28
|
**family_drug_deductible** | **String** | Deductible for drugs when a family is on the plan. | [optional]
|
33
29
|
**family_drug_moop** | **String** | Maximum out-of-pocket for drugs when a family is on the plan | [optional]
|
34
30
|
**family_medical_deductible** | **String** | Deductible when a family is on the plan | [optional]
|
35
31
|
**family_medical_moop** | **String** | Maximum out-of-pocket when a family is on the plan | [optional]
|
36
32
|
**fp_rider** | **BOOLEAN** | True if plan does not cover family planning | [optional]
|
33
|
+
**gated** | **BOOLEAN** | Does the plan's network require a physician referral? | [optional]
|
37
34
|
**generic_drugs** | **String** | Cost for generic drugs | [optional]
|
38
35
|
**habilitation_services** | **String** | Habilitation services benefits summary | [optional]
|
39
36
|
**hios_issuer_id** | **String** | | [optional]
|
@@ -41,7 +38,11 @@ Name | Type | Description | Notes
|
|
41
38
|
**hospice_service** | **String** | Hospice service benefits summary | [optional]
|
42
39
|
**hsa_eligible** | **BOOLEAN** | Is the plan HSA eligible? | [optional]
|
43
40
|
**id** | **String** | Government-issued HIOS plan ID | [optional]
|
41
|
+
**identifiers** | [**Array<PlanIdentifier>**](PlanIdentifier.md) | List of identifiers of this Plan | [optional]
|
44
42
|
**imaging** | **String** | Benefits summary for imaging coverage | [optional]
|
43
|
+
**imaging_center** | **String** | Imaging center benefits summary | [optional]
|
44
|
+
**imaging_physician** | **String** | Imaging physician benefits summary | [optional]
|
45
|
+
**in_network_ids** | **Array<Integer>** | List of NPI numbers for Providers passed in who accept this Plan | [optional]
|
45
46
|
**individual_drug_deductible** | **String** | Deductible for drugs when an individual is on the plan | [optional]
|
46
47
|
**individual_drug_moop** | **String** | Maximum out-of-pocket for drugs when an individual is on the plan | [optional]
|
47
48
|
**individual_medical_deductible** | **String** | Deductible when an individual is on the plan | [optional]
|
@@ -51,46 +52,45 @@ Name | Type | Description | Notes
|
|
51
52
|
**inpatient_mental_health** | **String** | Inpatient mental helath benefits summary | [optional]
|
52
53
|
**inpatient_physician** | **String** | Cost under the plan for an inpatient physician | [optional]
|
53
54
|
**inpatient_substance** | **String** | Inpatient substance abuse benefits summary | [optional]
|
54
|
-
**
|
55
|
+
**lab_test** | **String** | Lab test benefits summary | [optional]
|
55
56
|
**level** | **String** | Plan metal grouping (e.g. platinum, gold, silver, etc) | [optional]
|
56
57
|
**logo_url** | **String** | Link to a copy of the insurance carrier's logo | [optional]
|
58
|
+
**mail_order_rx** | **Float** | Multiple of the standard Rx cost share for orders filled via mail order | [optional]
|
59
|
+
**name** | **String** | Marketing name of the plan | [optional]
|
60
|
+
**network_ids** | **Array<Integer>** | List of Vericred-generated network_ids | [optional]
|
61
|
+
**network_size** | **Integer** | Total number of Providers in network | [optional]
|
57
62
|
**non_preferred_brand_drugs** | **String** | Cost under the plan for non-preferred brand drugs | [optional]
|
58
|
-
**
|
63
|
+
**nonpreferred_generic_drug_share** | **String** | Non-preferred generic drugs benefits summary | [optional]
|
64
|
+
**nonpreferred_specialty_drug_share** | **String** | Non-preferred specialty drugs benefits summary | [optional]
|
59
65
|
**off_market** | **BOOLEAN** | Is the plan off-market? | [optional]
|
66
|
+
**on_market** | **BOOLEAN** | Is the plan on-market? | [optional]
|
60
67
|
**out_of_network_coverage** | **BOOLEAN** | Does this plan provide any out of network coverage? | [optional]
|
61
68
|
**out_of_network_ids** | **Array<Integer>** | List of NPI numbers for Providers passed in who do not accept this Plan | [optional]
|
69
|
+
**outpatient_ambulatory_care_center** | **String** | Outpatient ambulatory care center benefits summary | [optional]
|
62
70
|
**outpatient_facility** | **String** | Benefits summary for outpatient facility coverage | [optional]
|
63
71
|
**outpatient_mental_health** | **String** | Benefits summary for outpatient mental health coverage | [optional]
|
64
72
|
**outpatient_physician** | **String** | Benefits summary for outpatient physician coverage | [optional]
|
65
73
|
**outpatient_substance** | **String** | Outpatient substance abuse benefits summary | [optional]
|
74
|
+
**plan_calendar** | **String** | Are deductibles and MOOPs reset on Dec-31 (\"calendar year\"), 365 day(s) after enrollment date (\"plan year\"), or are both options available (\"both\")? | [optional]
|
66
75
|
**plan_market** | **String** | Market in which the plan is offered (on_marketplace, shop, etc) | [optional]
|
76
|
+
**plan_type** | **String** | Category of the plan (e.g. EPO, HMO, PPO, POS, Indemnity, PACE, Medicare-Medicaid, HMO w/POS, Cost, FFS, MSA) | [optional]
|
77
|
+
**postnatal_care** | **String** | Post-natal care benefits summary | [optional]
|
67
78
|
**preferred_brand_drugs** | **String** | Cost under the plan for perferred brand drugs | [optional]
|
68
|
-
**prenatal_postnatal_care** | **String** | Inpatient substance abuse benefits summary | [optional]
|
69
|
-
**preventative_care** | **String** | Benefits summary for preventative care | [optional]
|
70
|
-
**premium_subsidized** | **Float** | Cumulative premium amount after subsidy | [optional]
|
71
79
|
**premium** | **Float** | Cumulative premium amount | [optional]
|
72
80
|
**premium_source** | **String** | Source of the base pricing data | [optional]
|
81
|
+
**premium_subsidized** | **Float** | Cumulative premium amount after subsidy | [optional]
|
82
|
+
**prenatal_care** | **String** | Prenatal care benefits summary | [optional]
|
83
|
+
**prenatal_postnatal_care** | **String** | Inpatient substance abuse benefits summary | [optional]
|
84
|
+
**preventative_care** | **String** | Benefits summary for preventative care | [optional]
|
73
85
|
**primary_care_physician** | **String** | Cost under the plan to visit a Primary Care Physician | [optional]
|
74
86
|
**rehabilitation_services** | **String** | Benefits summary for rehabilitation services | [optional]
|
87
|
+
**service_area_id** | **String** | Foreign key for service area | [optional]
|
75
88
|
**skilled_nursing** | **String** | Benefits summary for skilled nursing services | [optional]
|
89
|
+
**skilled_nursing_facility_365** | **String** | Does the plan cover full-time, year-round, nursing facilities? | [optional]
|
90
|
+
**source** | **String** | Source of the plan benefit data | [optional]
|
76
91
|
**specialist** | **String** | Cost under the plan to visit a specialist | [optional]
|
77
92
|
**specialty_drugs** | **String** | Cost under the plan for specialty drugs | [optional]
|
93
|
+
**type** | **String** | The type of the Plan | [optional]
|
78
94
|
**urgent_care** | **String** | Benefits summary for urgent care | [optional]
|
79
|
-
**actuarial_value** | **Float** | Percentage of total average costs for covered benefits that a plan will cover. | [optional]
|
80
|
-
**chiropractic_services** | **String** | Chiropractic services benefits summary | [optional]
|
81
|
-
**coinsurance** | **Float** | Standard cost share for most benefits | [optional]
|
82
|
-
**embedded_deductible** | **String** | Is the individual deductible for each covered person, embedded in the family deductible | [optional]
|
83
|
-
**gated** | **BOOLEAN** | Does the plan's network require a physician referral? | [optional]
|
84
|
-
**imaging_center** | **String** | Imaging center benefits summary | [optional]
|
85
|
-
**imaging_physician** | **String** | Imaging physician benefits summary | [optional]
|
86
|
-
**lab_test** | **String** | Lab test benefits summary | [optional]
|
87
|
-
**mail_order_rx** | **Float** | Multiple of the standard Rx cost share for orders filled via mail order | [optional]
|
88
|
-
**nonpreferred_generic_drug_share** | **String** | Non-preferred generic drugs benefits summary | [optional]
|
89
|
-
**nonpreferred_specialty_drug_share** | **String** | Non-preferred specialty drugs benefits summary | [optional]
|
90
|
-
**outpatient_ambulatory_care_center** | **String** | Outpatient ambulatory care center benefits summary | [optional]
|
91
|
-
**plan_calendar** | **String** | Are deductibles and MOOPs reset on Dec-31 (\"calendar year\"), 365 days after enrollment date (\"plan year\"), or are both options available (\"both\")? | [optional]
|
92
|
-
**prenatal_care** | **String** | Prenatal care benefits summary | [optional]
|
93
|
-
**postnatal_care** | **String** | Post-natal care benefits summary | [optional]
|
94
|
-
**skilled_nursing_facility_365** | **String** | Does the plan cover full-time, year-round, nursing facilities? | [optional]
|
95
95
|
|
96
96
|
|